Pediatric Center Of Greenville

LBN: Community Health Service Agency, Inc
Pediatric Center Of Greenville is an health care organization with primary practice located at 3005 Joe Ramsey Blvd E Ste A , Greenville TX 75401-7776. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Health Service Agency, Inc can be contacted via phone (903) 455-4458, or through Carter, Michelle P via phone (903) 455-5986.

Contact Information

Primary practice address
3005 Joe Ramsey Blvd E Ste A Greenville TX 75401-7776
Phone: (903) 455-4458
Fax: (903) 455-1604
Website:
Map and Directions
Authorized official contact:
Name: Carter, Michelle P
Phone: (903) 455-5986

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Texas

Profile Details

NPI number 1821475575
LBN Legal business name Community Health Service Agency, Inc
DBA Doing business as Pediatric Center Of Greenville
Authorized official Carter, Michelle P
Entity Organization
Organization subpart 1 Yes
Enumeration date May 1st, 2015
Last updated Mar 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821475575 NPPES
Texas MEDICAID 368577801

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